A woman will likely have her first gynecology appointment when she is in her late teens or early 20s and she should continue to see a gynecologist regularly throughout her life. We suggest that all women receive regular gynecology exams by a healthcare provider specifically trained in female reproductive health.
Gynecologists can diagnose conditions and abnormalities with a woman’s reproductive system, as well as check for cervical or vaginal cancer and abnormal growths. A gynecologist will evaluate the health of a woman’s breasts, pelvis, vagina, cervix, uterus and rectum during exams. Women often use this time with their gynecologist to discuss topics such as birth control, family planning and sexual health.
Different gynecology examinations are appropriate depending on a patient’s age and her diagnosed gynecological conditions. These are the gynecology exams that OB-GYNs at CU Anschutz Women's Health clinics offer:
A gynecologist will do a colposcopy test if a woman has abnormal cells found on a Pap smear. The procedure involves an instrument called a colposcope, which is a microscope on a stand. The doctor gently inserts a speculum into the patient’s vagina and then examines the cervix with the microscope.
The colposcope has a magnifying lens and light that allow the doctor to see a magnified image of the cervix and vaginal tissue. The doctor will be looking for abnormalities in the color structure and pattern of the area.
Sometimes the doctor will perform a cervical biopsy by taking a small sample of the tissue for further testing in a laboratory. Abnormal cells can be referred to as precancerous cells, though they may not yet be cervical cancer.
A loop electrosurgical excision procedure can be done when abnormal cells are found during a Pap smear test. Gynecologists perform LEEP to remove tissue and test for abnormal cells.
LEEP uses a thin wire loop heated by an electric current to remove a small piece of the tissue containing the abnormal cells. The layer of tissue that was removed will be sent to a laboratory for further testing.
Another benefit of LEEP is that it can be used to remove abnormal cells so that healthy cells can grow in their place. LEEP can be used in both diagnosing and treating polyps, genital warts and diethylstilbestrol (DES) exposure. The procedure for LEEP begins with a colposcopy because the gynecologist uses a colposcope to view the cervix while passing the LEEP wire along the area of concern.